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Old 02-15-2009, 06:09 PM   #1
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Join Date: Oct 2008
Location: WI
Posts: 4,189
dreams in neon HB Userdreams in neon HB User
Manic Episodes and Exhaustion

Hi everyone,

I woke up feeling great today, but by mid afternoon I felt really, really tired and as if I wanted to go to bed. Have any of you felt tired after being manic? The past 2 weeks have been very difficult for me in terms of my bipolar after having 2 depressive episodes, one psychotic episode and most recently, a manic episode which resulted in a crash into severe suicidal depression. This afternoon I slept from 2pm-7:30pm and now I'm worried that the attending pdoc will know this, think I'm depressed (which I'm not) and end up prescribing higher doses of meds than what I am already on.
__________________
Atypical Bipolar I Disorder with Rapid Cycling
Meds:
Depakote 1500mg
Prozac 40mg
Risperdal 1mg titrating to 6mg/day
Klonopin .5mg (2x/day)
Trazodone 100mg or 200mg PRN

 
Old 02-15-2009, 06:52 PM   #2
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Posts: 1,917
seaturtle HB User
Re: Manic Episodes and Exhaustion

Greetings, neondreams,

For sure, my friend. Exhaustion usually comes after a manic episode for me. I think part of the reason we crash is that we are simply exhausted. Our systems - all of them - are going 4x normal speed when we're manic (and often, our bodies, too), so being exhausted is natural.
In the manic episode, were you physically more active and/or get little sleep?

How are you doing in the hospital? May I ask what specifically helps you there?

Keep in touch. I hope you are feeling a bit better - and I hope they have changed the menu, too!

(((((neondreams)))))

Seaturtle

 
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Old 02-15-2009, 09:45 PM   #3
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Join Date: Oct 2008
Location: WI
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dreams in neon HB Userdreams in neon HB User
Re: Manic Episodes and Exhaustion

Seaturtle,

When I'm manic, I'm running on full steam. I'm very, very active and don't get any sleep for 5 days at the least. I go from doing activity A to activity B back to activity A and then start activity C without finishing activity B. My concentration is severely diminished when I'm manic. The only good thing about being manic is that I feel REALLY good (at the beginning of a manic episode), I have heightened creativity, I'm witty, funny and I can do and remember anything. I don't like to be challenged when I'm manic but if someone does, I'll do everything I have to in order to prove them wrong and demonstrate my abilities.

Being in the hospital when I've crashed from mania to severe suicidal depression does several things: It prevents the possibility of me experiencing psychotic depression like I did in December, it prevents me from harming myself (and I do have problems with SH/SI) and it keeps me in a safe environment where I know I won't act on the commands of my voices when they tell me to hurt myself.

The menu here is pretty redundant. We have the same type of food every 3-4 days, but that's okay because the food is quite good actually and consists of meals that I enjoy eating. They are requiring me to have a protein drink at every meal again (as they did in December) but this time, the attending pdoc explained to me that this was to help increase my energy and improve my mood.

How are you feeling today? Any better? I hope so.

Take care.

P.S. I'll post again tomorrow to let all of you know how I'm doing.
__________________
Atypical Bipolar I Disorder with Rapid Cycling
Meds:
Depakote 1500mg
Prozac 40mg
Risperdal 1mg titrating to 6mg/day
Klonopin .5mg (2x/day)
Trazodone 100mg or 200mg PRN

 
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